Organization
THE DEVEREUX FOUNDATION
Active
Other names
Devereux Advanced Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MCKEEVER (NATIONAL DIRECTOR OF AR)
(610) 542-3064
Entity
Organization
Contact information
Practice address
3550 N GOLDENROD RD STE 1, WINTER PARK, FL 32792-8823
(321) 441-1030
Mailing address
5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
(407) 362-9210
(866) 440-0613
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029573602
—
FL
Enumeration date
10/25/2021
Last updated
07/13/2022
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